Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $467.74 / $1,778.28	Facility		$251.19	$467.74	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $380.19	Professional		$173.78	$218.78	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $562.34 / $741.31	Facility		$263.03	$562.34	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $363.08	Professional		$154.88	$288.40	$363.08
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $478.63	Facility		$251.19	$251.19	$478.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $758.58	Facility		$251.19	$436.52	$758.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $302.00	Professional		$223.87	$223.87	$302.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $380.19 / $691.83	Facility		$263.03	$380.19	$691.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $223.87 / $251.19	Professional		$186.21	$223.87	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $302.00	Facility		$251.19	$302.00	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $251.19	Professional		$89.13	$104.71	$251.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $446.68	Professional		$112.20	$112.20	$446.68